Affiliation:
1. From the Division of Dermatology, University of Washington, Seattle, WA; Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA; and private practice, Pocatello, ID
Abstract
Background: Distortion of the philtrum, which lends considerable symmetry to the midface, leads to a poor esthetic outcome. Objective: This case series describes reconstructive approaches to six philtral defects after Mohs micrographic surgery. Reconstructive approaches including advancement flaps, full-thickness skin grafts, and second-intention healing are illustrated. Postoperative complications included graft hypertrophy, irregularity of the graft surface, graft color mismatch, tenderness, and slight eclabium, which improved with dermabrasion or intralesional triamcinolone. Conclusion: The reasonable success of full-thickness skin grafts demonstrated here provides an additional approach to philtral repairs, especially when combined with traditional advancement flaps.
Cited by
6 articles.
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